486例脐带绕颈的分娩结局分析

目的探讨脐带绕颈情况下的分娩情况;方法选择我院2005年11月至2009年11月以来的胎儿脐带绕颈患者486例,分析和讨论胎儿绕颈者分娩情况,并与1268例正常孕妇从剖宫产率、胎儿窘迫以及新生儿窒息和死胎率等方面进行对比分析,讨论胎儿绕颈的危害性和正确处理方法;结果脐带绕颈患者的剖宫产率为51.03%,显著高于正常无脐带绕颈的9.94%,2者统计学分析差异极显著（P〈0.01）;同时,胎儿窒息以及胎儿窘迫的患者比例高达11.93%,也显著高于正常无脐带绕颈的孕妇,2者统计学分析差异极显著（P〈0.01）;结论脐带绕颈增加了孕妇的剖宫产率、新生儿窒息数以及死胎率,对孕妇和胎儿均造成一定危害,因此,对于脐带绕颈病例应严格监控,尽量避免新生儿窒息以及死胎的发生。

Umbilical Cord Entanglement of Delivery Outcome Analysis of 486 Cases

Objective To explore the umbilical cord around neck in case of delivery situation;Methods The hospital in November 2005～2009 11 months were 486 cases of fetal umbilical cord around neck,analysis and discussion around fetal neck by birth of the situation and 1268 cases of normal pregnant women from the profile control power,fetal distress and neonatal asphyxia and stillbirth rates in areas such as comparative analysis and discussion around the neck of fetal harm and the correct approach;Results The umbilical cord around neck in patients with cesarean section rate was 51.03%,was significantly higher than the 9.94% without nuchal cord,both statistically significant difference（P0.01）;the same time,fetal asphyxia and fetal distress as high as 11.93 percent the proportion of patients,but also significantly higher than the normal non-Cord Around Neck pregnant women,both statistically significant difference（P0.01）;Conclusion increased nuchal cord of pregnant women to exploit power,the number of neonatal asphyxia and stillbirths in pregnant women and the fetus are caused by certain hazards,therefore,for the nuchal cord cases should be strictly monitored to avoid the occurrence of neonatal asphyxia and stillbirth.